Individual
TIMOTHY WILLIAM SCHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB SIXTH FLOOR, CLINIC 6B, MINNEAPOLIS, MN 55455-0356
(612) 625-4680
Mailing address
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012177
PREFERRED ONE
MN
05
—
102020000
—
MN
01
—
115288
UCARE
MN
01
—
34Y72SC
BLUE CROSS BLUE SHIELD
MN
01
—
603758
ARAZ
MN
01
—
92-00024
MEDICA CHOICE
MN
01
—
92-70159
MEDICA PRIMARY
MN
01
—
HP22105
HEALTH PARTNERS
FM
Enumeration date
10/20/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us